Individual
ALEXIS ARIEL REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
361 NE MARTIN LUTHER KING ST, LAKE CITY, FL 32055-2118
(386) 697-4194
Mailing address
361 NE MARTIN LUTHER KING ST, LAKE CITY, FL 32055-2118
(386) 697-4194
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
FL
Other
Enumeration date
05/13/2019
Last updated
05/21/2020
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